Individual
DR. BRENT ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
140 MAHALEY AVE, SALISBURY, NC 28144-2449
(704) 637-0150
Mailing address
141 REMOUNT RD APT 10116, CHARLOTTE, NC 28203-6486
(704) 497-0170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11083
NC
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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